Overview
Medical Only Claim RepresentativeOkemos, MI | In-Office | $20.51/hr to $23/hrMonday – Friday, 8:00 AM to 4:30 PM
Disclaimer: The posted salary range for this position reflects the anticipated base pay for this role. Actual pay is determined based on factors such as qualifications, skills, relevant experience, internal equity, and location. Additional compensation may include discretionary bonuses, benefits, or other forms of compensation, depending on the role. The salary range provided is in compliance with state and local requirements and is intended to offer transparency to applicants. We encourage open discussions with our hiring team regarding any questions you may have about compensation and benefits for this position.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefits package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP, and 401K.
About CCMSI:
At CCMSI, we seek the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we’re united by a common mission to deliver exceptional service to our clients. As an employee-owned company, we focus on developing our staff through structured career development programs and by rewarding individual and team efforts. Certified as a Great Place to Work, CCMSI’s employee satisfaction and retention rank in the 95th percentile, reflecting our commitment to an outstanding work environment.
Why Join CCMSI?
- Culture: Our Core Values shape how we treat employees as valued partners—with integrity, passion, and enthusiasm.
- Career Development: CCMSI offers robust internships and internal training programs to support growth and advancement within the organization.
- Comprehensive Benefits: Enjoy 4 weeks of paid time off in your first year, 10 paid holidays, and a benefits package that includes Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and Employee Stock Ownership Program (ESOP).
- Supportive Work Environment: We believe in creating a workplace where employees enjoy coming to work each day, are provided with the resources to succeed, and manage realistic caseloads.
Position Summary:
Join CCMSI as a Medical Only Claim Representative and play a key role in managing claims while supporting our dedicated claims team. This entry-level position is ideal for individuals looking to gain foundational experience in claims management and potentially advance to intermediate-level roles. You will oversee designated medical-only claims, ensuring they meet corporate standards and legal requirements.
Responsibilities
- Claim Management: Set up, manage, and maintain medical-only claim files in compliance with corporate standards and applicable laws.
- Financial Oversight: Establish reserves and recommend adjustments under supervision. Review and approve medical and miscellaneous invoices, resolving discrepancies as needed.
- Medical Coordination: Request and monitor medical treatments to ensure proper care for claimants.
- Documentation: Maintain accurate and detailed log notes, summarizing correspondence and medical records.
- Support Tasks: Assist claim staff on client service teams and provide general support for claims handling.
- File Maintenance: Close and archive files when appropriate, retrieving them as necessary for audits or reviews.
- Standards Compliance: Ensure adherence to corporate claim standards and client-specific handling instructions.
- Additional Duties: Perform other duties as assigned to support the team.
Qualifications
Education and Experience:
- Associate degree or two (2) years of related business experience required.
- Knowledge of medical terminology preferred.
Skills and Abilities:
- Strong written and verbal communication skills.
- Proficiency with Microsoft Office (Word, Excel, Outlook).
- Excellent organizational and time-management skills.
- Self-starter with the ability to work independently and as part of a team in a fast-paced environment.
- Commitment to discretion, confidentiality, and responsive client service.
Performance Measurement:
- Performance evaluations and claim audits assess accuracy, efficiency, and adherence to corporate standards.
Physical Requirements:
- Ability to sit or stand for extended periods.
- Occasionally lift objects weighing up to 15 pounds.
- Sufficient auditory and visual acuity to perform essential tasks.
Certificates, Licenses, and Registrations:
- None required, though knowledge of medical terminology is advantageous.
Core Values & Principles:
Employees are expected to uphold CCMSI’s Core Values and Principles, which include performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
Apply today to join a dynamic team focused on professional growth and delivering exceptional service!
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